Abstract:BACKGROUNDTo correlate structural integrity of visual pathway white matter tracts with prolactin levels in a patient who demonstrates downward herniation of the optic chiasm secondary to medical treatment of a prolactinoma.METHODSA 36-year-old woman with a prolactinoma presented with progressive bilateral visual field defects nine years after initial diagnosis and medical treatment. She was diagnosed with empty-sella syndrome and instructed to stop cabergoline. Hormone testing was conducted in tandem with rout… Show more
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